Ungalithintela njani ihlwili legazi ngexesha lokukhulelwa

Imfundo yezeMpilo Imiba yooMama

Akukho nto ifana nemvakalelo yokungakwazi ukubamba umphefumlo wakho. Xa ndandineminyaka engama-22 ubudala, kwaba nzima ukuphefumla. Ekugqibeleni ndaya esibhedlele apho bandifumanisa ndine-pulmonary embolism -igazi elivale umphunga, imeko enqabileyo kumntu olingana nam. Kamva ndafumanisa ukuba ndinemeko yemfuza eyonyusa amathuba okuba nehlwili legazi.

Ihlwili lam laqhekeka kwaye ndanyangwa ixesha elithile emva koko ndacoca igazi. Kodwa, bendisazi ukuba kwixa elizayo kuyakufuneka ndithathe amanyathelo asebenzayo ukuba ndingakhulelwa okanye ndenziwe utyando. Amahlwili egazi ngexesha lokukhulelwa yinkxalabo yoomama abaninzi abakhulelweyo, kodwa njengoko ndifundileyo, kunjalo ngu kunokwenzeka ukulawula umngcipheko wakho omkhulu.

Unobangela wamahlwili egazi ngexesha lokukhulelwa

Ukujiya kwegazi yinkqubo yendalo eyenzekayo xa igazi lidibana ukuze lenze ubunzima be-gelatin. Le nkqubo ikhusela umzimba wakho ekopheni kakhulu xa wenzakele, njengoko ukujiyiswa kunokulitywina inxeba. Ngexesha lokukhulelwa, umzimba ujongelwe ukuba ubambe ukunqanda ukulahleka kwegazi ngexesha lokuhanjiswa. Nangona oku kubalulekile, i-clotting yegazi (ebizwa ngokuba yi-thrombosis) inokubangela iingxaki, ngakumbi xa isenzeka ngaphakathi kwimithambo yegazi.

Oku kunokwenzeka kuwo nawuphi na umthambo wegazi emzimbeni. Nangona kunjalo, eyona ndawo ixhaphakileyo yokuba amahlwili egazi angaqhelekanga akwimithambo enzulu yemilenze yakho. Oku kubizwa ngokuba yi-vein vein thrombosis (DVT). Eyona nto ixhalabisayo kukuba iqabaka linokuqhawuka lihambe liye kwamanye amalungu omzimba (imiphunga ixhaphake kakhulu), nto leyo enokubangela iingxaki ezinkulu okanye nokufa.

Kuqikelelwa ukuba abasetyhini abakhulelweyo banokufikelela amathuba aphindwe kahlanu ukufumana amahlwili egazi kunabafazi abangakhulelweyo. Utshintsho lwehormonal ekukhulelweni, kunye noxinzelelo olwandileyo kwimithambo ethintela ukuhamba kwegazi, kunokubangela amahlwili egazi.

Igazi ekuthiwa ligazi emiphungeni, ekwabizwa ngokuba yi-pulmonary embolism, ngoyena nobangela wokufa koomama kubafazi abakhulelweyo e-U.S. IZiko le-UNC Hemophilia kunye neThrombosis . Kwaye umngcipheko wokuba namahlwili egazi awukho ngexesha lokukhulelwa-iyaqhubeka nokuba yinkxalabo malunga neeveki ezintandathu emva kokubeleka. Ukuhanjiswa ngecandelo le-cesarean (c-icandelo) kuphinda kabini umngcipheko wakho emva kokuzalwa.

Ngubani osemngciphekweni wamahlwili egazi ngexesha lokukhulelwa?

Nabani na onokukhulisa i-clot yegazi ngexesha lokukhulelwa, nangona kunjalo kunokwenzeka ngakumbi phantsi kweemeko ezithile, okanye kwabo sele benobungozi.

Abafazi abakhulelweyo basemngciphekweni ophezulu we-DVT ngezizathu ezininzi, utsho UNisha Bunke, MD , ingcali yemithambo noonozakuzaku beBhodi yaseMelika yeVenous kunye neLymphatic Medicine, imeko ene-hypercoagulable state (iiprotein ezisegazini ziyayenza ibe ngqindilili, kwaye kube lula ukwenza amahlwili), isibeleko esandisiweyo sinokubeka uxinzelelo kwimithambo esiswini esisezantsi, kwaye iihomoni zinciphisa ithoni yemithambo.

Ugqirha Bunke wongeza ukuba abanye abantu basetyhini banezinto ezinobungozi ezonyusa umngcipheko we-DVT nangakumbi ngexesha lokukhulelwa, njengokuphazamiseka kwegazi ekuzuzweni, iimeko zonyango ezinje nge-lupus kunye ne-sickle cell disease, ukutyeba kakhulu, ukungakwazi ukuhamba kunye nobudala obungaphezulu kwama-35.

Eminye imiba enokwandisa umngcipheko wokunqanda yile:

• Imbali yosapho yamahlwili egazi
• Ukukhulelwa okuninzi (amawele okanye nangaphezulu)
• Ukuhamba imigama emide (ukuhlala ixesha elide)
• Ukuhlala ixesha elide, njengokulala ngexesha lokukhulelwa
• Ezinye iimeko zonyango

Ukongeza, abanye abantu banokuchaphazeleka ekufumaneni amahlwili egazi ukuba bane-thrombophilias, iqela leziphazamiso ezonyusa umngcipheko womntu we-thrombosis (ukuqina kwegazi okungaqhelekanga). Le yayiyimeko yam, kunye nemeko eyaziwa ngokuba yi-Protein C Defence.

Iimpawu ze-DVT xa ukhulelwe

Olona phawu lubonakalayo lwe-DVT kukudumba kunye nentlungu enzima okanye ukuthamba kakhulu komnye wemilenze yakho, utsho UGqirha Kendra Segura , MD, ibhodi eqinisekisiweyo ye-OBGYN eSouthern California. Ezinye iimpawu zibandakanya:

• Ubuhlungu emilenzeni ngelixa ushukuma
• Ulusu luziva lufudumele okanye luthambile
• Ubomvu, ngokuqhelekileyo emva kwedolo
• Ukudumba
• Imvakalelo enzima, ebuhlungu

Ugqirha Segura uthi ukuba ufumana ezi mpawu kufuneka ufune unyango kwangoko. Umboneleli wakho wezempilo unokufuna ukuvavanywa ngakumbi kuba akusoloko kulula ukufumanisa i-DVT ekukhulelweni ukusuka kwiimpawu zodwa, ngokukaGqirha Segura.

Nangona ukukhula kwamahlwili egazi ngexesha lokukhulelwa kunokuba yingozi, kuqhelekile ukuba-kwaye kuyanyangeka. Amayeza e-Anticoagulant (ekwabizwa ngokuba ngabacoci begazi) anokumiselwa ukunceda ukuqhekeza ihlwili kwaye igazi lihambe kwakhona. UGqirha Segura uthi bobabini uHeparin kunye Ubunzima beemolekyuli zeHeparin zikhuselekile xa ukhulelwe kumama nosana . Iziphumo eziphambili zecala lokuthatha abacoci begazi ngumngcipheko owandayo wokopha, ke ugqirha wakho uya kukujonga njengoko ukukhulelwa kuqhubeka.

Fumana ikhadi lesaphulelo somntu ongatshatanga

Ukopha kwilungu lobufazi kunye namahlwili egazi xa ukhulelwe

Ngamanye amaxesha ngexesha lokukhulelwa, abafazi badlula amahlwili egazi kwilungu lobufazi, nesizathu esivakalayo sokuxhalaba.

Kwiinyanga ezintathu zokuqala zokukhulelwa (kwiinyanga ezintathu zokuqala), abasetyhini banokuopha ngenxa yokumiliselwa (apho iqanda lichumileyo linamathela eludongeni lwesibeleko) okanye ngenxa yokuphulukana nokukhulelwa kwangoko (ukuphuma kwesisu). Ngelixa hayi onke amatyala okudlula kwamahlwili ngaphakathi kweeveki ezili-12 zokuqala zokukhulelwa abonisa ilahleko, ukopha kwilungu lobufazi ngexesha lokukhulelwa kungunobangela wenkxalabo, kungoko kungcono ukulandela ugqirha wakho ongumbelekisi, ugqirha wezifo zabasetyhini, okanye omnye ugqirha wezempilo.

Kwikota yesibini neyesithathu, Ukopha kunokubangelwa zizinto ezahlukeneyo. Oku kunokubandakanya ukuphuphuma kwesisu, ukubeleka kwangaphambi kwexesha, okanye ukungaqheleki kokubeleka kubandakanya i-placenta previa, okanye ukuphazamiseka kweplacenta. Ukopha kunye nokudlula kwamahlwili ngexesha lokukhulelwa kungangumqondiso wokuphuphuma kwesisu, ukubeleka ngaphambi kwexesha, okanye ezinye iingxaki, ke qiniseka ukunxibelelana nomboneleli wakho wezempilo ukuba ukopha.

Ungawunciphisa njani umngcipheko wamahlwili egazi xa ukhulelwe

Xa kuziwa kwi-DVT ekukhulelweni, ukuthintela kubalulekile. Kwimeko yam, bendisaziwa njengomngcipheko ophezulu ngenxa yesifo se-thrombophilic, kunye nembali yamahlwili angaphambili. Oku kuthetha ukuba ndinikwe iyeza eline-molekyuli ephantsi ye-Heparin (LMWH)(Iifowuni zeFragmin | Iinkcukacha zeFragmin)ixesha lokukhulelwa kwam njengenyathelo lokuthintela.

Kukho namanye amanyathelo okuthintela anokunceda ukunciphisa umngcipheko wamahlwili, utshilo uGqirha Segura, kubandakanya:

• Ukunxiba isitokhwe esincinci
• Ukugcina i-hydrated kakuhle
• Ukuhlala usebenza (Ukuzilolonga rhoqo kuphucula ukujikeleza, amanqaku kaGqirha Segura.)
• Ukuphepha ukutshaya
• Ukunxibelelana nezinye iimeko zonyango kugqirha wakho

Amahlwili egazi ayanyangeka, kwanaxa ukhulelwe; Nangona kunjalo, ngenxa yemingcipheko ehambelana nawe kunye nosana lwakho olusakhulayo, ukuxilongwa nokunyangwa ngokukhawuleza kubalulekile.